Ua nalowale anei kou lohe ma muli o ka walaʻau nui? (Noise-Induced Hearing Loss - NIHL) E kamaʻilio kākou e pili ana i kēia!

Ua hele paha ʻoe i kahi hōʻike mele leo nui a pāʻina paha a lohe i kahi leo "R..." i loko o kou mau pepeiao? A i ʻole ua kaumaha a paʻa kou mau pepeiao? ʻO ka hapa nui o ka manawa, ʻaʻole mākou e hoʻolohe nui i kēia mau mea. Manaʻo mākou, "E maikaʻi ana ia i kekahi manawa." Akā, ua ʻike anei ʻoe ʻo ka hoʻolaha mau ʻana i nā leo nui e like me kēia hiki ke hōʻino mau i kou lohe, me ka ʻike ʻole ʻoe? ʻO ia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'noise-induced hearing loss' (NIHL).

I ka ʻōlelo maʻalahi, he aha ka NIHL?

ʻAe, e ʻōlelo kākou penei. I loko o ko kākou mau pepeiao, he mau ʻano lauoho maikaʻi loa ko kākou e hopu ana i nā nalu kani a hoʻouna i nā leka i ka lolo. Kāhea mākou i kēia mau 'kelepona lauoho.' E noʻonoʻo iā ia e like me kahi lau nahele i mālama maikaʻi ʻia. Ke lohe ʻoe i ke kani maʻamau, ua like ia me ka makani mālie e pā ana ma luna o ka mauʻu. ʻAʻole ia e ʻeha.

Akā inā lohe koke ʻoe i kahi walaʻau nui, e like me ka pahū ʻana o kahi pūkuniahi, ua like ia me ke kaʻa kaumaha e holo ana ma luna o kēlā lau nahele. Kūlou kekahi o nā lau mauʻu, a ma hope o kekahi manawa pololei hou lākou. ʻO ia ke kumu ma hope o ke kani ʻana, emi iho kou lohe no kekahi manawa, a laila hoʻōla hou ia. Akā i ka wā e hoʻomau ai ʻoe i ka lohe ʻana i nā leo nui e like me kēia, make mau loa kēlā mau lau mauʻu. Pēlā e make ai kēia mau hunaola lauoho palupalu i loko o ko kākou mau pepeiao, ʻaʻole lākou e ulu hou. ʻO ia ka manawa e nalowale mau ai kou lohe . Ua kapa ʻia kēia ʻo NIHL.

ʻO ka mea kūikawā e pili ana i kēia, ʻo ia wale nō ka nalowale o ka lohe hiki ke pale ʻia. ʻO ia hoʻi, inā mākou e makaʻala iki, hiki iā mākou ke pale i ko mākou mau pepeiao.

Pehea ka maʻamau o kēia ʻano?

ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. Ua ʻike ʻia e ka noiʻi ʻana i kēia kūlana:

• Ua hoʻopilikia ʻia he 5.2 miliona mau keiki a me nā ʻōpio ma waena o 6 a me 19 mau makahiki.
• Ua hoʻopilikia ia i 26 miliona mau mākua ma waena o 20 a me 69 mau makahiki.

Hōʻike kēia mau helu helu he pilikia kēia e hiki ke hoʻopilikia i kekahi, me ka nānā ʻole i ka makahiki.

He aha nā hōʻailona o NIHL?

Aia kekahi mau hōʻailona e ʻike ai ʻoe ua hoʻopilikia ʻia kou lohe e ka walaʻau nui. I kekahi manawa e ʻike koke ʻia kēia mau hōʻailona, ​​a i ʻole e ulu mālie paha i ka hala ʻana o ka manawa.

• Kaomi a piha paha i loko o ka pepeiao: He manaʻo kaumaha, me he mea lā ua komo ka wai i loko o ka pepeiao.
• Ua emi nā leo kiʻekiʻe: ua emi nā leo e kani ana nā manu, ua emi nā leo palupalu e like me ke uē ʻana o kahi pēpē.
• ʻAʻole hiki ke lohe maopopo i ka mea e ʻōlelo ʻia nei: Ke ʻōlelo kekahi, kani maopopo ʻole nā ​​​​huaʻōlelo, me he mea lā e moni ʻia ana.
• Tinnitus: E like me ka ʻike ʻana o ka hapa nui o mākou, he kani mau ia i loko o nā pepeiao .

I kekahi manawa, ma hope o ka hoʻolaha ʻana i ka walaʻau nui, hiki i kēia mau hōʻailona ke mau no kekahi mau minuke, hola, a i ʻole nā ​​lā a laila nalo. A laila manaʻo mākou, "ʻĀ... ua maikaʻi." Akā ʻo ka mea i hana maoli ʻia, ua hōʻino ʻia ka pepeiao, akā ua hoʻōla ʻia mai ia manawa. Akā me ka hoʻomau ʻana o ka hoʻolaha ʻana i kēia ʻano walaʻau, lilo kēlā pōʻino i mea mau loa.

Nā kumu nui a me nā ʻano o NIHL

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui ka hōʻino ʻia ʻana o nā hunaola lauoho palupalu i loko o ka pepeiao. Hiki ke hoʻokaʻawale ʻia ʻo NIHL i ʻelua ʻano ma muli o ke ʻano o ka hana ʻana o kēia hōʻino.

1. ʻEha Leo (Pohō Lohe koke): Hana ʻia kēia ke loaʻa i ke kanaka kahi leo hoʻokahi, leo nui loa, koke. No ka laʻana, he pahū ahi, he pū kī, a i ʻole he pōkā e pahū ana ma kahi kokoke i ko lākou pepeiao. I ia mau hihia, hiki ke nalowale koke ka lohe a mau loa aku .

2. NIHL Mau (Pohō lohe ʻole kikoʻī): Hoʻokumu ʻia kēia e ka ʻike ʻana i ka walaʻau haʻahaʻa no ka manawa lōʻihi. No ka laʻana, kekahi e komo ana i nā headphone a hoʻolohe i ke mele ma ka leo nui loa i ka lā a pau, a i ʻole kekahi e hana ana i kahi hale hana walaʻau. No kēia poʻe, hiki ke hala i nā pule, nā mahina, a i ʻole nā ​​​​makahiki no ka ʻike ʻia ʻana o nā hōʻailona. No laila, hiki mālie ka nalowale o ka lohe me ka ʻike ʻole ʻia e hana nei ka pōʻino.

He aha ke ʻano o ka walaʻau e hōʻino ai i ko kākou mau pepeiao?

ʻO ke anakahi ana no ka ikaika o ke kani ua kapa ʻia he decibel (dB). Ma ke ʻano laulā, ʻo ka lōʻihi o ka hoʻolaha ʻana i nā pae walaʻau o 85 decibels (85 dB) a ʻoi aku paha hiki ke hōʻino i ko kākou lohe. ʻOiai hoʻokahi wale nō hoʻolaha ʻana i nā pae walaʻau o 120 decibels (120 dB) a ʻoi aku paha hiki ke hōʻino koke.

E nānā kākou i ke ʻano o nā decibel o kekahi o nā leo a kākou e lohe ai i ke ola o kēlā me kēia lā.

ʻO wai ka mea i pilikia nui no kēia?

ʻO kaʻoiaʻiʻo, hiki i kekahi ke loaʻa i ka NIHL. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe. He ʻoiaʻiʻo loa kēia no ka poʻe e hana ana i nā wahi walaʻau.

• ʻO ka mahiʻai (kani ka mīkini e like me nā tractors)
• ʻOihana kālai lāʻau (nā leo o ka mīkini ʻoki lāʻau)
• Kahua kūkulu (ʻeli, kani wili)
• ʻOihana koa (nā pū, nā pahū)
• ʻOihana hana mining
• Ka unuhi ʻaila a kinoea paha

He mea koi ʻia no ka poʻe e hana ana i ia mau hana ke komo i nā mea pale pepeiao (nā plug pepeiao, nā earmuffs). Eia kekahi, aia kēia pilikia no ka poʻe e hele pinepine ana i nā ʻaha mele, DJ, a hana i nā hale kalapu pō.

He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o NIHL?

ʻAʻole wale ka nalowale o ka lohe ʻana ʻaʻole hiki iā ʻoe ke lohe i nā leo. Hiki iā ia ke loaʻa ka hopena nui i kou ʻano ola. Hiki iā ʻoe ke manaʻo ʻaʻole makemake e launa pū, huhū, a hoʻonāukiuki i nā mea āpau.

ʻO nā pilikia ʻē aʻe e hiki ke kū mai ma muli o NIHL:

• Tinnitus: Ke lohe nei i kahi leo "kani" mau i loko o nā pepeiao.
• Hyperacusis: ʻOiai ke lohe ʻana i nā leo maʻamau me ka leo nui loa a hiki ʻole ke hoʻomanawanui.
• Ke kaumaha a me ka hopohopo: Ke kaumaha mau nei no ka mea ʻaʻole hiki iā ʻoe ke lohe i ka ʻōlelo a haʻi.
• Kaumaha:Kaumaha ma muli o ka noho kaʻawale ʻana o ka lehulehu.
• ʻInsomnia: Ka haunaele i ka hiamoe, ʻoiai ma muli o ka tinnitus.
• Ke Koko Kiʻekiʻe: He kūlana i hiki ke hana ʻia e ke kaumaha lōʻihi.

Pehea e ʻike ai i kēia maʻi?

Inā loaʻa iā ʻoe kahi kānalua iki he NIHL kou, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana (GP) . E nānā ʻo ia iā ʻoe a, inā pono, e kuhikuhi iā ʻoe i kahi loea pepeiao, ihu, a me ka ʻāʻī (kauka ENT) a i ʻole he audiologist.

Hana nā loea i nā hoʻokolohua like ʻole e nānā i kou lohe.

• Hoʻāʻo leo maʻemaʻe: Ma kēia, kau ʻoe i ʻelua mau headphone a hoʻolohe i nā leo palupalu loa o nā leo kiʻekiʻe a haʻahaʻa like ʻole. Pono ʻoe e hāʻawi i kahi hōʻailona i kou lohe ʻana i ke kani. E kōkua kēia iā ʻoe e ʻike i ka pae leo haʻahaʻa loa hiki iā ʻoe ke lohe.
• Audiometry ʻōlelo: Ke ana kēia i ka maopopo o kou lohe ʻana a me ka hoʻomaopopo ʻana i nā ʻōlelo i ʻōlelo ʻia.
• Pane lolo pepeiao (ABR): Hoʻāʻo kēia i ke ʻano o ka pane ʻana o kou mau aʻalolo lohe a me ka lolo i nā leo.
• Nā hoʻokuʻu Otoacoustic: He hoʻāʻo e ana i ka hana o nā hunaola lauoho i loko o ka pepeiao o loko.
• Tympanometry: Ana i ka neʻe ʻana o ka eardrum a me ka hana o ka pepeiao waena.

Hiki i kēia mau hoʻokolohua ke ʻike pololei inā ʻo NIHL ke kumu o kou nalowale ʻana o ka lohe a i ʻole kekahi kumu ʻē aʻe.

He aha nā lāʻau lapaʻau no NIHL?

ʻO ka mea pōʻino, ʻaʻole hiki ke ulu hou nā hunaola lauoho i loko o ka pepeiao i hōʻino ʻia e ka walaʻau, ʻo ia hoʻi, ʻaʻole hiki ke ho'ōla loa ʻia kēia maʻi. ʻO ka pale ʻana ka lāʻau lapaʻau maikaʻi loa.

Eia nō naʻe, inā ua pohō kou lohe, aia nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e lohe maikaʻi.

• Nā mea kōkua hoʻolohe: ʻO kēia nā mea i hoʻohana pinepine ʻia. Hoʻonui lākou i nā leo o waho a kōkua iā ʻoe e lohe maopopo.
• Nā mea hoʻokomo cochlear: Inā ua nui ka nalowale o ka lohe a ʻaʻole kōkua hou nā mea kōkua lohe, hiki i nā kauka ke paipai i kēia koho. He mea hana i hoʻokomo ʻia me ke ʻoki kino kēia.

I kekahi mau hihia, ʻoi aku hoʻi i nā hihia o ka hōʻino koke ʻana e like me ka trauma acoustic, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e like me corticosteroids e hōʻemi i ka pehu ʻana i ka pepeiao.

ʻAʻole hiki ke pale ʻia? ʻOiaʻiʻo hiki!

ʻO kēia ka ʻāpana koʻikoʻi loa. ʻOiai ʻaʻole hiki iā ʻoe ke hoʻihoʻi i ka pōʻino i hana mua ʻia, nui nā mea hiki iā ʻoe ke hana e pale aku i ka pōʻino hou aʻe.

• E hōʻemi i ka walaʻau: E hōʻalo i nā walaʻau nui i nā manawa hiki. E hoʻohaʻahaʻa i ka leo ma ke TV, lekiō, a me ka mea hoʻokani mele.
• E neʻe aku: E neʻe iki aku mai kahi walaʻau nui (e.g., kokoke i kahi mea hoʻolele leo, kokoke i kahi mīkini). ʻO ka mamao aku, ʻo ka emi ʻana o ka maikaʻi o ke kani.
• E komo i nā mea pale: E komo i nā pani pepeiao a i ʻole nā ​​pale pepeiao i ka wā e hele ai i nā wahi e like me nā ʻaha mele, nā kahua kūkulu, a me nā hale hana. Aia kekahi mau pani pepeiao no nā ʻaha mele e hōʻemi ana i ka walaʻau me ka ʻole o ka hoʻohaʻahaʻa ʻana i ka maikaʻi o ke mele.
• E hoʻomaha i kou mau pepeiao: Inā ua lōʻihi kou lohe ʻana i ka walaʻau nui, e hoʻomaha i kou mau pepeiao ma ka noho ʻana i kahi mālie no kekahi mau hola.
• E pale i kāu mau keiki: He palupalu loa nā pepeiao o nā keiki ʻōpio. I ka lawe ʻana iā lākou i nā wahi me nā leo nui, mai poina e uhi i ko lākou mau pepeiao.

Āhea ʻoe e ʻike ai i ke kauka?

Inā pili kekahi o kēia mau mea iā ʻoe, e ʻike koke i ke kauka.

• Inā ua hoʻolohe pinepine ʻia ʻoe i ka walaʻau nui ma muli o kāu hana a i ʻole kāu mau hana leʻaleʻa.
• Inā loaʻa iā ʻoe kahi leo "kani" (tinnitus) i loko o kou mau pepeiao ma hope o kahi walaʻau nui.
• Inā ʻike ʻoe i kekahi mau loli i kāu lohe.
• Inā loaʻa iā ʻoe ka nalowale koke o ka lohe a wikiwiki paha.
• Inā ʻōlelo pinepine nā ʻohana a i ʻole nā ​​hoaaloha, "ʻAʻole hiki iā ʻoe ke lohe i kā mākou e ʻōlelo nei i kēia manawa."

He makana makamae ka lohe ʻana i hāʻawi ʻia mai iā kākou. Ma mua o ka mihi ʻana ma hope, ʻoi aku ka naʻauao o ka mālama ʻana iā ia ʻoiai e loaʻa ana iā kākou.